Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,655
Total Claims
$950K
Drug Cost
667
Beneficiaries
$1,424
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-55%
Opioid rate vs peers
1.2% vs 2.6% avg
+33%
Cost per patient vs peers
$1,424 vs $1,068 avg
+51%
Brand preference vs peers
13.6% vs 9.0% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.2%
Opioid Rate
101
Opioid Claims
$1,275
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,160 claims · $821K
Generic: 7,364 claims · $122K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 119 | $105K |
| Semaglutide | 79 | $97K |
| Rivaroxaban | 71 | $79K |
| Dulaglutide | 48 | $67K |
| Liraglutide | 25 | $35K |
| Dapagliflozin Propanediol | 46 | $33K |
| Insulin Aspart | 16 | $32K |
| Empagliflozin | 31 | $32K |
| Sitagliptin Phosphate | 21 | $19K |
| Insulin Glargine,hum.Rec.Anlog | 23 | $18K |
| Fluticasone/Umeclidin/Vilanter | 20 | $17K |
| Budesonide/Formoterol Fumarate | 27 | $17K |
| Fluticasone Propion/Salmeterol | 26 | $13K |
| Semaglutide | 11 | $13K |
| Fluticasone/Vilanterol | 28 | $12K |
Prescribing Profile
Patient Profile
72
Avg Age
45%
Female
1.14
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data